Healthcare Provider Details

I. General information

NPI: 1871151977
Provider Name (Legal Business Name): ERIC JAMES MILLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 MADISON AVE
NEW YORK NY
10029-6542
US

IV. Provider business mailing address

1470 MADISON AVE
NEW YORK NY
10029-6542
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-6756
  • Fax:
Mailing address:
  • Phone: 212-241-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number316141
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: